US20120310229A1 - Surgical Device with DC Power Connection - Google Patents

Abstract

A system and method for providing additional power to a hand-held surgical device from a supplemental DC power supply. The hand-held surgical device includes a generator and an internal power supply. The internal power supply is a battery or a capacitor either which can withstand a high-temperature and/or a low-temperature sterilization procedure while within the hand-held surgical device. The supplemental DC power supply can provide alone or in combination with the internal power supply sufficient power to the generator to perform an electrosurgical procedure. The supplemental DC power supply is connected through a detachable cord to the hand-held surgical device. The DC power supply may be outside a sterile surgical environment.

Description

BACKGROUND
• 1. Technical Field
• The present disclosure relates to apparatuses and method for supplying power to a handheld surgical device, and more particularly, to a supplementary DC power source to increase the power supplied to a generator within the handheld surgical device.
• 2. Background of Related Art
• Energy-based tissue treatment is well known in the art. Various types of energy (e.g., electrical, ultrasonic, microwave, cryogenic, thermal, laser, etc.) are applied to tissue to achieve a desired result. Electrosurgery involves application of high frequency electrical current to a surgical site to cut, ablate, coagulate or seal tissue. In monopolar electrosurgery, as shown inFIG. 1A, a source oractive electrode2 delivers high frequency energy from theelectrosurgical generator20 to the tissue and areturn electrode2 carries the current back to the generator. In monopolar electrosurgery, the source electrode is typically part of the surgical instrument held by the surgeon and applied to the tissue to be treated. A patient return electrode is placed remotely from the active electrode to carry the current back to the generator.
• In bipolar electrosurgery, as shown inFIG. 1B, one of the electrodes of the hand-held instrument functions as theactive electrode14 and the other as thereturn electrode16. The return electrode is placed in close proximity to the active electrode such that an electrical circuit is formed between the two electrodes (e.g., electrosurgical forceps10). In this manner, the applied electrical current is limited to the body tissue positioned immediately adjacent to the electrodes. When the electrodes are sufficiently separated from one another, the electrical circuit is open and thus inadvertent contact with body tissue with either of the separated electrodes does not cause current to flow.
• Electrosurgical instruments have become widely used by surgeons in recent years. By and large, most electrosurgical instruments are hand-held instruments, e.g., an electrosurgical pencil, which transfer electrical or electrosurgical energy to a tissue site. As used herein the term “electrosurgical pencil” is intended to include instruments which have a handpiece that is attached to an active electrode and which is used to cauterize, coagulate and/or cut tissue. Typically, the electrosurgical pencil may be operated by a handswitch or a foot switch. The active electrode is an electrically conducting element that is usually elongated and may be in the form of a thin flat blade with a pointed or rounded distal end. Alternatively, the active electrode may include an elongated narrow cylindrical needle that is solid or hollow with a flat, rounded, pointed or slanted distal end. Typically electrodes of this sort are known in the art as “blade”, “loop” or “snare”, “needle” or “ball” electrodes.
• As mentioned above, the handpiece of the electrosurgical pencil is connected to a suitable electrosurgical energy source (i.e., generator) which produces the electrical energy necessary for the operation of the electrosurgical pencil. In general, when an operation is performed on a patient with an electrosurgical pencil, electrical energy from the electrosurgical generator is conducted through the active electrode to the tissue at the site of the operation and then through the patient to a return electrode. The return electrode is typically placed at a convenient place on the patient's body and is attached to the generator by a conductive material.
• Some electrosurgical procedures utilize electrosurgical forceps that use both mechanical clamping action and electrical energy to affect hemostasis by heating tissue and blood vessels to coagulate, cauterize and/or seal tissue. As an alternative to open forceps for use with open surgical procedures, many modern surgeons use endoscopes and endoscopic instruments for remotely accessing organs through smaller, puncture-like incisions. As a direct result thereof, patients tend to benefit from less scarring and reduced healing time.
• Endoscopic instruments are typically inserted into the patient through a cannula, or port, which has been made with a trocar. Typical sizes for cannulas range from three millimeters to twelve millimeters. Smaller cannulas are usually preferred, which, as can be appreciated, ultimately presents a design challenge to instrument manufacturers who must find ways to make endoscopic instruments that fit through the smaller cannulas. Such endoscopic instruments may use monopolar forceps, bipolar forceps or a combination monopolar/bipolar forceps.
• Some portable battery powered surgical devices are powered by lithium-ion batteries. As these batteries require charging before use, a lithium-ion battery requires removal of the battery and sterilization in a hydrogen-peroxide system due to the low heat tolerance of lithium-ion batteries. Hydrogen-peroxide sterilization systems cost more money then high-temperature sterilization techniques and are not as widely available in all locations.
SUMMARY
• In accordance with the present disclosure, a system and method for providing additional power to a hand-held surgical device from a supplemental DC power supply. The hand-held surgical device includes a generator and an internal power supply. The internal power supply is a battery or a capacitor either which can withstand a high-temperature or low temperature sterilization procedure while within the hand-held surgical device. The supplemental DC power supply can provide alone or in combination with the internal power supply sufficient power to the generator to perform an electrosurgical procedure. The supplemental DC power supply is connected through a detachable cord to the hand-held surgical device. The DC power supply may be outside a sterile surgical environment.
• According to an embodiment of the present disclosure, an apparatus for performing a surgical procedure. The apparatus includes a hand-held surgical device having a generator and an internal power supply. The entire hand-held surgical device can withstand at least one type of high-temperature sterilization. The apparatus further includes a supplemental DC power supply in external communication with the internal power supply and a cord that connects the supplemental DC power supply to the hand-held internal power supply to increase the power supplied to the generator.
• According to another embodiment of the present disclosure, an apparatus for performing a surgical procedure. The apparatus includes a hand-held surgical device having a generator and an internal battery. The internal battery while within the hand-held surgical device can withstand at least one type of high-temperature sterilization. The apparatus further includes a supplemental DC power supply in external communication with the internal battery and a cord that connects the supplemental DC power supply to the internal battery to increase the power supplied to the generator.
• According to another embodiment of the present disclosure, a method for performing a surgical procedure includes the step of connecting a hand-held surgical device to a supplemental DC power supply. The hand-held surgical device includes an internal power supply and a generator within. The method further includes the steps of performing a surgical procedure and selectively augmenting power supplied to the generator via the internal power supply using the supplemental DC power supply. Alternatively, the supplemental DC power supply can directly supply power to the generator and the internal power supply can selectively augment power supplied to the generator, such as during peak usage requirements. The method also includes the steps of disconnecting the hand-held surgical device from the supplemental DC power supply and performing a high-temperature sterilization procedure on the hand-held surgical device including the internal power supply.
BRIEF DESCRIPTION OF THE DRAWINGS
• The above and other aspects, features, and advantages of the present disclosure will become more apparent in light of the following detailed description when taken in conjunction with the accompanying drawings in which:
• FIGS. 1A-1B are schematic diagrams of electrosurgical systems;
• FIG. 2 is a side, perspective view of a handheld surgical instrument according to an embodiment of the present disclosure;
• FIG. 3 is a side, perspective view of a handheld surgical instrument according to an alternative embodiment of the present disclosure;
• FIG. 4 is a perspective view of an electrosurgical pencil in accordance with an embodiment of the present disclosure;
• FIG. 5 is a partially broken away, side elevational view of the electrosurgical pencil ofFIG. 4;
• FIG. 6 is a partially broken away, side elevational view of an alternative embodiment of the electrosurgical pencil ofFIG. 4;
• FIG. 7A is a perspective view of an endoscopic forceps and generator according to the present disclosure;
• FIG. 7B is interior perspective view of the endoscopic forceps ofFIG. 7A according to the present disclosure;
• FIG. 7C is interior perspective view of the endoscopic forceps ofFIG. 7A according to an alternative embodiment of the present disclosure; and
• FIG. 8 is a flow chart using a supplementary power supply with a surgical device according to the present disclosure.
DETAILED DESCRIPTION
• Particular embodiments of the present disclosure are described hereinbelow with reference to the accompanying drawings; however, it is to be understood that the disclosed embodiments are merely exemplary of the disclosure and may be embodied in various forms. Well-known functions or constructions are not described in detail to avoid obscuring the present disclosure in unnecessary detail. Therefore, specific structural and functional details disclosed herein are not to be interpreted as limiting, but merely as a basis for the claims and as a representative basis for teaching one skilled in the art to variously employ the present disclosure in virtually any appropriately detailed structure.
• Like reference numerals may refer to similar or identical elements throughout the description of the figures. As shown in the drawings and described throughout the following description, as is traditional when referring to relative positioning on a surgical instrument, the term “proximal” refers to the end of the apparatus which is closer to the user and the term “distal” refers to the end of the apparatus which is further away from the user.
• Electromagnetic energy is generally classified by increasing energy or decreasing wavelength into radio waves, microwaves, infrared, visible light, ultraviolet, X-rays and gamma-rays. As used herein, the term “microwave” generally refers to electromagnetic waves in the frequency range of 300 megahertz (MHz) (3×10⁸cycles/second) to 300 gigahertz (GHz) (3×10¹¹cycles/second). As used herein, the term “RF” generally refers to electromagnetic waves having a lower frequency than microwaves. Ultrasonic generally refers to electromagnetic waves in the frequency range of 1 kHz to 2000 kHz.
• With reference toFIGS. 2-3, and initially with reference toFIG. 2, a handheldsurgical instrument50 configured for use with a removable supplementaryDC power supply134 according to an embodiment of the present disclosure is illustrated. The handheldsurgical instrument50 may be configured for use as, but not limited to, electrosurgical forceps, electrosurgical staplers, etc. For illustrative purposes,FIGS. 2-3 disclose a handheld ultrasonic surgical instrument50 (instrument50).
• Instrument50 includes ahousing46 configured to house one or more components, e.g., transducer, waveguide and electrical circuitry that is configured for electrical communication with a battery “B” or acapacitor150 and the supplementaryDC power supply134 of theinstrument50. Aproximal end51 ofhousing46 is configured to couple to an ultrasonic generator28 (generator28) and the battery “B” or capacitor150 (seeFIG. 3), described in greater detail below. Adistal end53 of thehousing46 is configured to support and/or couple to ashaft42.
• Shaft42 extends fromhousing46 and defines a longitudinal axis “A-A” therethrough.Shaft42 includes a length that ranges from about 20 cm to about 40 cm. In the illustrated embodiment,shaft42 includes a length that is 39 cm. Ashaft rotation knob26 is operably coupled to theshaft42 and is configured to rotate theshaft42 approximately 360° in either direction about the longitudinal axis “A-A.” Aproximal end48 of theshaft42 is operably coupled to thehousing46 and adistal end12 of theshaft42 is operably coupled to anend effector38. The operation of parts of the end effector38 (e.g.,jaw members16 and18) are movable relative to one another upon actuation ofhandle assembly20 coupled tohousing46 as described in more detail below.
• More particularly, handleassembly20 includes amoveable handle52 and a fixedhandle44.Jaw member40 is pivotable about jaw member18 (and/or thedistal end12 of the shaft42) when lever ormovable handle52 ofhandle assembly20 is moved proximally.Jaw member40 is movable from an open position for positioning tissue between thejaw members40 and18, to a clamping position for grasping tissue between thejaw members40 and18 and againstjaw member18.Jaw member18 serves as an active or oscillating blade and is configured to effect tissue. To this end,jaw member18 includes an ultrasonic member (not shown) that is operably coupled to a transducer32 (shown in phantom), and an operatingsurface22 configured to effect tissue. In the illustrated embodiment, the operatingsurface22 is configured to transect, dissect and/or coagulate tissue upon actuation of anactivation button24 operably coupled togenerator28.
• Activation button24 places theinstrument50 in two modes of operation, a low-power mode of operation and a high-power mode of operation. More particularly,activation button24 is depressable to a first position for delivering low-power to theactive jaw member18 and a second position for delivering high-power to theactive jaw member18. In the first position, one or more audio or visual indicators may indicate to user that theactivation button24 is in the low-power mode. For example, and in one particular embodiment, an audio indicator may include a low-pitch, slow pulsating tone that indicates to a user that theactivation button24 is in the first position or low power mode. Likewise, one or more audio or visual indicators (nor shown) may indicate to user that the activation button is in the high-power mode, e.g., an audio indicator may include a high-pitch, fast pulsating tone that indicates to a user that theactivation button24 is in the second position or high power mode.
• Generator28 is configured to convert electrical energy generated by a battery “B” (FIG. 2) or capacitor150 (FIG. 3) and supplementaryDC power supply134 to ultrasonic energy to drive theactive jaw member18.
• The electrochemistry of battery “B” may be Nickel Cadmium (NiCad), Nickel Metal-Hydride (NiMH), or other type of battery electrochemistry that can withstand high-temperature sterilization cycles. Both NiCad and NiMH batteries can withstand the high temperatures of sterilization with the appropriate temperature buffering in the mechanical design of thehousing46. Additionally, both NiCad and NiMH batteries can withstand least one type of low temperature of sterilization procedure One advantage of using battery “B” is that theinstrument50 is more tolerant to power interruptions or heavy usage because battery “B” maintains a charge longer thancapacitor150.
• Capacitor150 may be used to supplement the power supplied to theend effector38 during peak requirements.Capacitor150 may be a conventional capacitor, an ultracapacitor (electric-double layer capacitor), a nanoscale supercapacitor, or other type of known capacitor. Ultracapacitors can release energy faster then a battery and have short re-charging cycles. A nanoscale supercapacitor may be formed from a nanopourous anodic aluminum oxide film followed by an atomic layer deposition of metal, insulator, and metal.Capacitor150 is configured to withstand high and/or low temperature sterilization procedures.
• Generator28 operably couples to thehousing46 and may be selectively removable therefrom. More specifically and in one embodiment, to secure thegenerator28 to thehousing46, a user positions thegenerator28 on a top portion of thehousing46 at a proximal end thereof and turns a torquingknob36 to hand tighten thegenerator28 to thehousing46. In certain embodiments, a torque wrench (not shown) may be utilized to control rotation of the torquingknob36.
• Generator28 also includes transducer32 (shown in phantom) that is configured to convert electrical energy to mechanical energy that produces motion of awaveguide34 disposed in operative communication with theactive jaw member18. When thetransducer32 andwaveguide34 are driven at a specific resonant frequency, they produce mechanical motion at theactive jaw member18. The electronics of thegenerator28 converts the electrical energy from battery “B” orcapacitor150 and the supplementaryDC power supply134 into a high voltage AC waveform which, in turn, drives thetransducer32. In one particular embodiment, the frequency of this AC waveform is the same as the resonant frequency of thewaveguide34 andtransducer32. As can be appreciated, the magnitude of the AC waveform includes a value that produces the proper amount of mechanical motion.
• Handle44 also includes electrical circuitry (not shown (therein that is utilized to provide communication between thegenerator28, the controller “C”, and the battery “B” orcapacitor150, and the supplementaryDC power supply134.
• The supplementaryDC power supply134 is connected throughcable132 which may be detachable frominstrument50 and or the supplementaryDC power supply134. The supplementaryDC power supply134 may recharge battery “B” orcapacitor150 when theinstrument50 is idle, e.g., when power is not being supplied toactive jaw member18. Additionally, the supplementaryDC power supply134 may selectively augment the power supplied from battery “B” orcapacitor150 togenerator28. Alternatively, the supplementaryDC power supply134 may supply power directly togenerator28.
• The supplementaryDC power supply134 may also be detachably coupled to theinstrument50 throughcable132. The supplementary DC power supply may be an AC to DC converter, a DC to DC converter, DC power source, or other similar power supply. Thesupplementary power supply134 may be disposed outside the sterile surgical environment, and therefore does not require sterilization. The AC/DC converter may plug into an outlet inside or outside the sterile surgical environment. The DC power source could be a lithium ion battery that is stored outside the sterile surgical environment, and therefore does not need to be sterilized.Cable132 is sufficiently long enough to allow the user sufficient maneuverability and connect to the supplementaryDC power source134 that may be inside or outside the sterile surgical environment. Additionally,cable132 can be permanently attached to the handheld surgical instrument50 (FIGS. 2-3),100 (FIG. 4-6), or510 (FIGS. 7A-7C) or completely removable from thehandheld instrument50,100, or510 to allow replacement or substitution of a differently sized cable.Cable132 can be sterilized with the handheldsurgical instrument50,100, or510 or separately from the handheld surgical instrument depending on how thecable132 is connected. For example,cable132 is removable from the supplementaryDC power supply134 to allow sterilization ofcable132 without the need to sterilize the supplementaryDC power supply134.
• FIGS. 4-5 show an electrosurgical pencil constructed in accordance with an embodiment of the present disclosure and is shown generally as100.Electrosurgical pencil100 includes anelongated housing102 configured and adapted to support ablade receptacle104 at adistal end103 thereof which, in turn, receives a replaceableelectrocautery end effector106 in the form of a loop and/or blade therein.Electrocautery blade106 is understood to include a planar blade, a loop, a needle and the like. Adistal end portion108 ofblade106 extends distally fromreceptacle104 while a proximal end (not shown) portion ofblade106 is retained withindistal end103 ofhousing102.Electrocautery blade106 may be fabricated from a conductive type material, such as, for example, stainless steel, or is coated with an electrically conductive material. The electrosurgical pencil also includes a generator board “G”, a controller board “C”, and a battery “B” (SeeFIG. 5).
• As shown,electrosurgical pencil100 is coupled to a return pad “R” via acable112.Cable112 includes a transmission wire that electrically interconnects return pad “R” with areturn port111 defined inelectrosurgical pencil100 to connect the return pad “R” to the generator “G”.
• For the purposes herein, the terms “switch” or “switches” includes electrical actuators, mechanical actuators, electro-mechanical actuators (rotatable actuators, pivotable actuators, toggle-like actuators, buttons, etc.) or optical actuators.
• Electrosurgical pencil100 includes at least one activation button, e.g., three activation buttons124a-124c, each of which is supported on anouter surface107 ofhousing102. Each activation button124a-124cis operatively connected to a respective control switch126a-126cwhich, in turn, regulates the transmission of electrical energy supplied from the electrosurgical generator “G” toelectrosurgical blade106. More particularly, control switches126a-126care electrically coupled to acontrol loop116 and are configured to close and/orcomplete control loop116, which causes the controller board “C” to send an instruction to electrosurgical generator “G”. Power is then supplied to the generator “G” from battery “B” and/or the supplementaryDC power supply134. The supplementaryDC power supply134 is connected through acable132 which may be detachable from thesurgical device100 and or the supplementaryDC power supply134. The supplementaryDC power supply134 recharges battery “B” when thesurgical device100 is idle, e.g., when power is not being supplied to theelectrosurgical blade106. As inFIGS. 2-3, the electrochemistry of battery “B” may be Nickel Cadmium (NiCad), Nickel Metal-Hydride (NiMH), or other type of battery electrochemistry that can withstand high-temperature sterilization cycles with the appropriate temperature buffering in the mechanical design of thehousing102.
• Alternatively, as shown inFIG. 6, the power is supplied from acapacitor150 and/or the supplementaryDC power supply134. Thesupplementary DC power134 may provide energy for normal continuous operation and/or supply may be used to maintain and/or recharge thecapacitor150.Capacitor150 may be used to supplement the power supplied to theend effector106 during peak requirements. As similar toFIG. 3,capacitor150 may be a conventional capacitor, an ultracapacitor (electric-double layer capacitor), a nanoscale supercapacitor, or other type of known capacitor.
• Electrosurgical pencil100 further includes one ormore intensity controllers128aand/or128b, each of which are slidingly supported inguide channels130a,130b, respectively, defiend inouter surface107 ofhousing102. Eachintensity controller128aand128bis a slide-like potentiometer. Eachintensity controller128aand128bandrespective guide channel130aand130bmay be provided with a series of cooperating discreet or detented positions defining a series of positions that allow easy selection of output intensity from a minimum amount to a maximum amount. The series of cooperating discreet or detented positions also provides the surgeon with a degree of tactile feedback. One of the series of positions forintensity controllers128a,128bmay be an “off” position (i.e., no level of electrical or RF energy is being transmitted).
• Intensity controllers128aand128bare configured and adapted to adjust one of the power parameters (e.g., RF energy field, voltage, power and/or current intensity) and/or the power verses impedance curve shape to affect the perceived output intensity.
• As shown inFIGS. 5 and 6, controller board “C” receives inputs from the various switches126a-126cand intensity controllers128a-128bthat are disposed inhousing102 and sends a signal to the generator “G” to generate an energy signal. The energy signal may be RF, ultrasonic, or other signal selected by the user. The generator is powered from the supplementaryDC power supply134, the battery “B”, and/or thecapacitor150.
• With reference toFIGS. 7A and 7B, an illustrative embodiment of a wireless electrosurgical apparatus, e.g., a bipolar forceps510 (forceps510) is shown.Forceps510 includes an electrosurgical generator “G”, a battery “B”, and a supplementaryDC power supply134 for performing an electrosurgical procedure (SeeFIG. 7B). The electrosurgical procedure may include sealing, cutting, cauterizing coagulating, desiccating, and fulgurating tissue all of which may employ RF energy. The electrosurgical generator “G” may be configured for monopolar and/or bipolar modes of operation and may include or be in operative communication with a system (not shown) that may include one or more processors in operative communication with one or more control modules that are executable on the processor. The control module (not explicitly shown) may be configured to instruct one or more modules to transmit electrosurgical energy, which may be in the form of a wave or signal/pulse to theforceps510.
• Forceps510 is shown configured for use with various electrosurgical procedures and generally includes ahousing520, a rotatingassembly580, ahandle assembly530, and atrigger assembly570. Thetrigger assembly570 includes afinger actuator572. For a more detailed description of thehousing520, rotatingassembly580, and triggerassembly570, reference is made to commonly-owned U.S. patent application Ser. No. 11/595,194 filed on Nov. 9, 2006, now U.S. Patent Publication No. 2007/0173814.
• With continued reference toFIGS. 7A and 7B,forceps510 includes ashaft512 that has adistal end514 configured to mechanically engage anend effector assembly590 and aproximal end516 that mechanically engages thehousing520.
• Handle assembly530 includes a fixedhandle550 andmovable handle540.Fixed handle550 is integrally associated withhousing520 and handle540 is movable relative to fixedhandle550 for effecting movement of one or more components, e.g., a drive wire533 (shown in phantom inFIG. 7B), operably associated with adrive assembly534 via one or more suitable mechanical interfaces, e.g., a linkage interface, gear interface, or combination thereof.
• Drive assembly534 is in operative communication with handle assembly530 (seeFIGS. 7A and 7B) for imparting movement of one or bothjaw members525,535 ofend effector assembly590. Thedrive assembly534 may include acompression spring547 that cooperates withdrive wire533 to facilitate closing thejaw members525 and535 with uniform and consistent pressure.Drive wire533 is configured such that proximal movement thereof causes themovable jaw members535 and545 and operative components associated therewith, e.g.,seal plate528 and535, to pivot relative to one another aboutpivot511 to approximate tissue. With this purpose in mind, drive rod orwire533 may be made from any suitable material and is proportioned to translate within theshaft512. In the illustrated embodiments,drive wire533 extends through theshaft512.
• RF energy is supplied from the generator “G” when a user presses switch560 via controller “C”. The power to generate the RF energy signal is supplied from battery “B” and or the supplementaryDC power supply134. The electrochemistry of battery “B” may be Nickel Cadmium (NiCad), Nickel Metal-Hydride (NiMH), or other type of battery electrochemistry that can withstand high-temperature sterilization cycles. Further thesupplementary DC supply134 may be an AC/DC converter, DC/DC converter, a large lithium ion battery, or other similar power supply. Thecable132 connecting the supplementalDC power supply134 is similar to the one used with theultrasonic instrument50, however when used with a RF generator “G”, the peak power needs are greater and therefore thecable132 is larger. Also, thelarger cable132 would need a lower inductance impedance to maintain stable power during transient loading conditions. Alternatively, as shown inFIG. 7C, battery “B” may be replaced with acapacitor150.Capacitor150 may be a conventional capacitor, an ultracapacitor (electric-double layer capacitor), a nanoscale supercapacitor, or other type of known capacitor.
• FIG. 8 is a flow diagram ofprocess600 for operating a surgical device, such asinstrument50,100 or510, using a supplementaryDC power supply134. Theprocess600 starts atstep605, and with an operator connecting asurgical instrument50,100, or510 to the supplementalDC power supply134 atstep610. Next atstep620, an operator selects an operating mode by pressing an activation button or switch, such as52,124a-124cor560, on thehandheld device50,100, or510 respectively. The surgeon then performs the surgical procedure atstep630, which can include applying electrical energy at different rates and for different lengths of time. It also may include the use of one or more instruments that may or may not be powered. If multiple powered instruments are used, the user can use multiple supplementalDC power supplies134 ordisconnect cable132 from theinstrument50,100, or510, and connect the new instrument. After the surgical procedure is complete, the user disconnects the supplementalDC power supply134 fromcable132 atstep640.Cable132 can be disconnected from theinstrument50,100, or510 to be sterilized atstep650. Theprocess600 ends atstep660 after theinstrument50,100, or510 and orcable132 is sterilized using a high temperature sterilization method atstep650.
• The supplementaryDC power supply134 is used to selectively augment the internal power supply, which may be battery “B” orcapacitor150. The power is then supplied togenerator28 or “G”. During periods wheninstrument50,100, or510 is idle, the supplementary DC power supply may recharge battery “B” orcapacitor150. Alternatively, the supplementaryDC power supply134 may supply power directly togenerator28 or “G”. Additionally, the internal power supply, which may be battery “B” orcapacitor150, can withstand at least one type of high temperature sterilization while within the instrument. This allows for reduced costs of sterilization because lithium-ion batteries have low heat tolerance and require a hydrogen-peroxide system for sterilization which is more expensive then high temperature sterilization methods.
• While several embodiments of the disclosure have been shown in the drawings, it is not intended that the disclosure be limited thereto, as it is intended that the disclosure be as broad in scope as the art will allow and that the specification be read likewise. Therefore, the above description should not be construed as limiting, but merely as exemplifications of particular embodiments. Those skilled in the art will envision other modifications within the scope and spirit of the claims appended hereto.

Claims (20)

1. An apparatus for performing a surgical procedure, comprising:

a hand-held surgical device having a generator and an internal power supply, wherein the entire hand-held surgical device can withstand at least one type of high-temperature sterilization;

a supplemental DC power supply in external communication with the internal power supply; and

a cord that connects the supplemental DC power supply to the internal power supply to increase the power supplied to the generator.

2. The apparatus ofclaim 1, wherein the cord is selectively removable from the supplemental power supply to allow the cord to be independently sterilized using at least one type of high-temperature sterilization.

3. The apparatus ofclaim 1, wherein the cord is removable from the hand-hand surgical device.

4. The apparatus ofclaim 1, wherein the internal power supply is a battery or a capacitor.

5. The apparatus ofclaim 4, wherein the capacitor is a super capacitor or a nano super capacitor.

6. The apparatus ofclaim 1, wherein the supplemental DC power supply is a lithium ion battery, a DC/DC converter, an AC/AC converter, or an AC/DC converter.

7. The apparatus ofclaim 1, wherein the supplemental DC power supply is located outside of a sterilized surgical area and does not require sterilization.

8. The apparatus ofclaim 1, wherein the supplemental DC power supply recharges the internal power supply.

9. The apparatus ofclaim 1, wherein the supplemental DC power supply selectively augments power to the generator.

10. The apparatus ofclaim 1, wherein the supplemental DC power supply and the internal power supply provide the power to the generator in combination.

11. The apparatus ofclaim 1, wherein the generator provides ultrasonic energy to a transducer that produces motion at a waveguide to effect tissue.

12. The apparatus ofclaim 1, wherein the generator provides radio frequency energy signal to an end effector.

13. The apparatus ofclaim 1, further comprising a controller, wherein the controller receives an instruction from a switch, a knob, or a lever relative to an operating mode and the controller sends the appropriate instruction to the generator to generate the corresponding energy signal.

14. An apparatus for performing a surgical procedure, comprising:

a hand-held surgical device having a generator and an internal battery, wherein the internal battery while within the hand-held surgical device can withstand at least one type of high-temperature sterilization;

a supplemental DC power supply in external communication with the internal battery; and

a cord that connects the supplemental DC power supply to the internal battery to increase the power supplied to the generator.

15. The apparatus ofclaim 14, wherein the battery is a nickel cadmium or nickel metal-hydride battery.

16. The apparatus ofclaim 14, wherein the supplemental DC power supply is located within a sterilized surgical area.

17. The apparatus ofclaim 14, wherein the supplemental DC power supply is located outside a sterilized surgical area.

18. The apparatus ofclaim 12, wherein the supplemental DC power supply and the battery provide the power to the generator in combination.

19. A method for performing a surgical procedure, comprising:

connecting a hand-held surgical device to a supplemental DC power supply, wherein the hand-held surgical device includes an internal power supply and a generator within;

performing a surgical procedure;

selectively augmenting power supplied to the generator via the internal power supply using the supplemental DC power supply;

disconnecting the hand-held surgical device from the supplemental DC power supply; and

performing a high-temperature sterilization procedure on the hand-held surgical device including the internal power supply.

20. The method ofclaim 19, further comprises:

supplying power directly to the generator from the supplementary DC power supply.

Images